NEUROLOGICAL MEDICAL GROUP OF ORANGE COUNTY INC
NPI 1366463358
Psychiatry & Neurology - Neurology in Garden Grove, CA

Q: What is Neurological Medical Group Of Orange County Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since July 22, 2006

12555 GARDEN GROVE BLVD, SUITE 305, GARDEN GROVE, CA 92843(714) 636-7844(714) 847-7396 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Neurological Medical Group Of Orange County Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROLOGICAL MEDICAL GROUP OF ORANGE COUNTY INC (NPI 1366463358) is a healthcare organization registered as a neurology in Garden Grove, California and active in the NPI registry since July 2006. The organization lists James J Park, President, as its authorized official.

NPPES Registry Identity

NPI1366463358

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameNEUROLOGICAL MEDICAL GROUP OF ORANGE COUNTY INC

Location Address12555 GARDEN GROVE BLVD, SUITE 305Garden Grove, CA 92843-1902

Mailing Address11 Flora SpgsIrvine, CA 92602-2412 · (714) 847-7392 · Fax (714) 847-7396

Phone(714) 636-7844

Fax(714) 847-7396

Organization SubpartNo

Authorized OfficialJames J ParkPresident · (714) 636-7844

Enumeration DateJuly 22, 2006

Last NPPES UpdateJuly 26, 2007

✔ NPI 1366463358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · 20A7365

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

12555 GARDEN GROVE BLVD, Garden Grove, CA 92843

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Other Identifiers 6

Other1306871421CA · Individual Npi Number

OtherZZZ04904ZCA · Blue Shield Id

Other00AX73650CA · Medi-cal I.d Number

Medicare UPINH34942CA

OtherW20108CA · Medicare Group Id

Medicare ID-Type UnspecifiedW20A7365BCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neurological Medical Group Of Orange County Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20061107000495Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neurological Medical Group Of Orange County Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Park, D.O.

Neurology

NPI 1306871421

17822 BEACH BLVD SUITE 419
Huntington Beach, CA 92647

(714) 841-9922

✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurological Medical Group Of Orange County Inc's NPI number?

The NPI number for Neurological Medical Group Of Orange County Inc is 1366463358. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Neurological Medical Group Of Orange County Inc located?

Neurological Medical Group Of Orange County Inc is located at 12555 Garden Grove Blvd Suite 305, Garden Grove, CA 92843. The listed phone number is (714) 636-7844.

What is Neurological Medical Group Of Orange County Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Neurological Medical Group Of Orange County Inc enrolled in Medicare?

Yes. Neurological Medical Group Of Orange County Inc is registered in the Medicare PECOS enrollment system.

When is Neurological Medical Group Of Orange County Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Neurological Medical Group Of Orange County Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Neurological Medical Group Of Orange County Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neurological Medical Group Of Orange County Inc was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.